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General NPI Number Information
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NPI Number | 1962469643
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Entity Type | Individual
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Provider Name | JOSEPH G CARR DMD
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 172 UNITED PENN PLZ
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City | KINGSTON
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State | PA
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Zip | 18704-3417
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Country | US
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Telephone | 570-287-1337
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Fax |
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Provider Business Mailing Address
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Address Line | 5 CEDAR RD
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City | PLAINS
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State | PA
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Zip | 18705-2209
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS025504L
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License Number State | PA
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